OrganizationMedical Laboratories Of Arkansas, Inc.Clinical Medical LaboratoryLaboratoriesPractice Address9601 Lile Dr, Suite 108, Little Rock, AR 72205-6321(501) 202-6522PECOS EnrollmentBased on the most recent information from CMS, provider Medical Laboratories Of Arkansas, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255388997Provider TypeOrganizationFull NameMedical Laboratories Of Arkansas, Inc.SubpartNoEnumeration Date5/28/2006Last Updated5/28/2008Contact InformationPractice LocationPractice Address9601 Lile Dr, Suite 108, Little Rock, AR 72205-6321Phone(501) 202-6522Fax(501) 202-1429Mailing LocationMailing Address9601 Lile Dr, Suite 108, Little Rock, AR 72205-6321Phone(501) 202-6522Fax(501) 202-1429Authorized OfficialNameHines, Stacey (Director Of Patient Accounts)Phone(501) 812-7508Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseCLIA-04D1053341ArkansasProvider IdentifiersIDDescriptionIssuerID162836709DescriptionMedicaidIssuerUnlistedArkansas